CLACKAMAS SERVICE CENTER (NPI# 1821356536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821356536 |
| Entity Type | Organization |
| Organization Name | CLACKAMAS SERVICE CENTER |
| Practice Address |
8800 Se 80th Ave Portland OR 97206-9270 |
| Mailing Address |
Po Box 2620 Clackamas OR 97015-2620 |
| Practice Telephone | 5037717914 |
| Practice Fax Number | 5037718606 |
| Mailing Telephone | 5037717914 |
| Mailing Fax Number | 5037718606 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | ANDREW CATTS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5037993585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | LD-D-10148063 | OR | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CLACKAMAS SERVICE CENTER, INC. | 8800 Se 80th Ave, Portland, OR 97206 |
| Street Address |
8800 SE 80TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-9270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194122721 | Community Chest Inc. | Public Health or Welfare | 1628 Ne Buffalo St, Portland, OR 97211-4718 | 2014-11-25 |
| 1144668583 | Odyssey Science Innovations | Public Health or Welfare | 7471 Sw Saint John Pl, Portland, OR 97223-4503 | 2013-06-07 |
| 1295032647 | Community and Family Services, Inc. | Public Health or Welfare | 521 S Wayne St, Portland, IN 47371-2519 | 2011-02-22 |
| 1306146782 | Jay County Auditor Police Dept | Public Health or Welfare | 504 W Arch St, Portland, IN 47371-1317 | 2010-11-01 |
| 1932431798 | The Root Cellar | Public Health or Welfare | 94 Washington St., Portland, ME 04104 | 2010-02-04 |
| 1003090036 | State of Tennessee | Public Health or Welfare | 214 West Longview Drive, Portland, TN 37148 | 2007-12-27 |
| 1295881100 | The Boys & Girls Aid Society of Oregon | Public Health or Welfare | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2007-01-25 |
| 1487015442 | Christian Apostolic Community House | Public Health or Welfare | 13232 Se Stark St, Suite 4, Portland, OR 97233-1573 | 2016-03-17 |
| 1952789687 | Boys & Girls Aid | Public Health or Welfare | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2015-05-14 |
| 1922405638 | Careassist | Public Health or Welfare | 800 Ne Oregon St, Suite 1105, Portland, OR 97232 | 2014-11-24 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on CLACKAMAS SERVICE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.